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General NPI Number Information
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NPI Number | 1073629432
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Entity Type | Individual
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Provider Name | EDWARD MICHAEL STEEN PHD
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Gender | Male
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 80 E 11TH ST SUITE 510
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City | NEW YORK
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State | NY
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Zip | 10003-6811
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Country | US
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Telephone | 917-371-3720
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Fax |
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Provider Business Mailing Address
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Address Line | 345 W 13TH ST APT 2H
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City | NEW YORK
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State | NY
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Zip | 10014-1210
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Country | US
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Telephone | 212-929-0581
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 016642
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License Number State | NY
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